| NPI | 1033665476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MH22484) |
| 171M00000X Case Manager/Care Coordinator (Licence: FL O615004846720) | |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2023-08-11 |